| NPI | 1215428909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MIDDAUGH Doctor, Owner 915-503-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1207709) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2019-04-29 |